| Michael B Capobianco Md | |
|
3 Park Plz Ste 1 Glen Head NY 11545-1857 | |
| (516) 801-0334 | |
| Not Available |
| Full Name | Michael B Capobianco Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3 Park Plz Ste 1, Glen Head, New York |
| Authorized Official Name and Position | Michael B Capobianco (PHYSICIAN) |
| Authorized Official Contact | 5168010334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Capobianco Md 3 Park Plz Ste 1 Glen Head NY 11545-1857 Ph: (516) 801-0334 | Michael B Capobianco Md 3 Park Plz Ste 1 Glen Head NY 11545-1857 Ph: (516) 801-0334 |
| NPI Number | 1699135954 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699135954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 143830 (New York) | Primary |
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